Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $75.94	Professional		$13.99	$13.99	$75.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $37.52 / $48.42	Professional		$36.15	$37.52	$48.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.58	Facility		$2.00	$2.00	$3.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $31.82 / $53.38	Professional		$29.35	$31.82	$53.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $5.51	Professional		$5.51	$5.51	$5.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $31.82 / $53.03	Professional		$29.24	$31.82	$53.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.61 / $4.61	Professional		$3.64	$4.61	$4.61